Disease Categories
High Frequency Chest Wall Oscillation is prescribed for airway clearance
therapy to enhance mucus transport and improve bronchial drainage. Indications
for HFCWO are not diagnosis specific and it can be considered when retained
secretions cause pulmonary compromise. Individual assessment of each patient
is appropriate. For further information, please refer to the American Association
of Respiratory Care (AARC) Clinical
Practice Guideline on Postural Drainage.
The
following are common indications that have been treated with
HFCWO:
Conditions/Situations
- Patient with evidence
of retained secretions
- Independent patient
without access to a caregiver
- Patient with reduced
mobility
- Patient who cannot
tolerate Trendelenburg positioning
- Fragile patient who
cannot tolerate the force of CPT
- Ventilator-dependent
patient experiencing frequent pneumonias
Diagnosis
Categories
- Mucociliary System
Disorders - Cystic Fibrosis, Primary Ciliary Dyskinesia
- Obstructive Pulmonary
Conditions - Chronic Obstructive Pulmonary Disease, Bronchiectasis,
Asthma
- Neuromuscular Disease
- Muscular Dystrophy, Spinal Muscular Atrophy, Amyotrophic
Lateral Sclerosis
- Neuromotor Disorders
- Cerebral Palsy, Multiple Sclerosis, Spinal Cord injuries
- Restrictive Airway
Disorders - Scoliosis, Kyphoscoliosis
Most Common
Diagnoses Utilizing HFCWO
- Cystic Fibrosis
- Bronchiectasis
- Cerebral Palsy
- Spinal Muscular Atrophy
- Muscular Dystrophy
- Chronic Obstructive
Pulmonary Disease (COPD)
High
Frequency Chest Wall Oscillation has been prescribed
for over 200 diagnoses.
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